Barriers and Facilitators to the Fidelity of Delirium Screening in the Emergency Department: An Ethnographic Approach
The fidelity of ED delirium screening is influenced by an interplay of environmental, patient, provider, and caregiver factors. Fidelity may be improved by focusing education on the importance of screening, training screeners on how to determine whether a patient's mentation is acutely changed, providing clear action steps when a patient screens positive, and addressing how to administer the delirium screen to patients who do not speak English fluently.
Authors
- Fernanda Bellolio (ORCID: https://orcid.org/0000-0002-1632-4750)
- Lauren T. Southerland (ORCID: https://orcid.org/0000-0002-3561-8332)
- Molly M. Jeffery (ORCID: https://orcid.org/0000-0003-3854-6810)
- Jennifer L. Ridgeway (ORCID: https://orcid.org/0000-0001-7658-6763)
- Aidan F. Mullan (ORCID: https://orcid.org/0000-0001-8076-6935)
- Kayla P Carpenter (ORCID: https://orcid.org/0000-0003-2410-6574)
- Susan M. Bower (ORCID: https://orcid.org/0000-0001-7503-8810)
- Manuela Bartolacci
Institutions
- Mayo Clinic (US)
- Mayo Clinic in Arizona (US)
- Mayo Clinic in Florida (US)
- The Ohio State University (US)
Publication Details
- Journal
- Journal of the American Geriatrics Society
- Published
- 2025-10-04
- DOI
- https://doi.org/10.1111/jgs.70142
- Primary Topic
- Intensive Care Unit Cognitive Disorders
- Type
- article
- Field-Weighted Citation Impact
- 0.00